SSC WILSON OPERATING COMPANY LLC
Custodial Care Facility
Wilson, North Carolina
Provider NPI: 1639299571
Organization Information:Organization Name: SSC WILSON OPERATING COMPANY LLC
Practice Location:
2501 DOWNING ST SW WILSON, NC 27893 US
Tel: 252-237-6300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2501 DOWNING ST SW WILSON, NC 27893 US
Tel: 252-237-6300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | NC | NH0487 |
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | NC | NH0487 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NC | NH0487 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7805262 | NC | 05 | |
3445332 | NC | 05 | |
3446172 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin